Evaluation of a novel tablet application for improvement in colonoscopy training and mentoring (with video)

Laborde, Cregan J.; Bell, Charreau S.; Slaughter, James C.; Valdastri, Pietro; Obstein, Keith L.

doi:10.1016/j.gie.2016.07.052

Cited by 8 publications

(8 citation statements)

References 22 publications

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“…In a randomized-control trial of eight telemedicine and eHealth students, Budrionis et al (2016) reported that those who supplemented their training and mentoring with telestration completed tasks 33% faster, as well as having fewer miscommunications than those who did not utilize telestration. This reaffirms the view that a combination of telestration and verbal feedback can mitigate misinterpretations and, when paired with interactive elements, results in a higher standard of education (Laborde et al, 2017). Bogen et al (2013) support this viewpoint, inferring that utilizing telestration enhances procedural and medical knowledge transfer; Feng et al (2017) cite a correlation between knowledge gained and reduced effort to acquire that knowledge.…”

Section: Introductionsupporting

confidence: 52%

“…As evidenced by Table 2, video telestration appears to mitigate inherent differences of recallability between players, with those who experienced telestration exhibiting less variation of recall than those who did not experience telestration. Similarly, in bridging gaps in expert knowledge between coaches and players, video telestration appears to have the same effect in bridging gaps in cognitive capabilities between players, eliciting improvements in learning quality (Laborde et al, 2017). Overcoming inherent differences in cognitive function is also mirrored in the barriers posed by differences in languages within playing squads.…”

Section: Discussionmentioning

confidence: 92%

“…Having reviewed previous literature surrounding medical telestration and its transferability to sporting feedback research, it could be postulated that telestration might enhance the retention of information from video feedback sessions. Supplementing these sessions with interactive elements positively impacts the educational quality and, in doing so, might help players recall tactical and technical information in a shorter period (Budrionis et al, 2016;Laborde et al, 2017). Consequently, players' on-field decision-making and tactical understanding should improve, individually producing more knowledgeable players and collectively enhancing team performance.…”

Section: Sijmentioning

confidence: 99%

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Assessing the Efficacy of Video Telestration in Aiding Memory Recall Among Elite Professional Football Players

Smith¹,

Rands²,

Bateman³

et al. 2022

sij

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Elite football clubs have invested heavily in the use of video telestration software in recent years, however, little is known regarding the benefits of this technology in aiding players’ ability to recall events. Thus, the purpose of this study was to explore the effectiveness of video telestration in aiding memory recall of information amongst professional male football players. A randomised controlled trial was conducted, where an experimental group (n = 7) experienced telestration and a control group (n = 7) experienced no telestration over five sessions in 15 days. Following watching the telestrated or non-telestrated clips, each individual completed a questionnaire 24-hours later comprising of questions regarding possession, chances creation and set-piece. The study revealed statistically significant differences (p < 0.001) in recall percentages for total recall, possession, chance creation and set-piece categories between the telestrated and non-telestrated groups. Set piece information was recalled the most when supplemented with video telestration and recalled the least in its absence (86.86% ± 7.20% vs 48.00% ± 9.24%). Subsequently, the results validate the investment in this technology, and it is suggested analysts and coaches should consider the use of telestration to support the wider performance analysis and coaching process to aid recall and facilitate player learning.

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Section: Introductionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 92%

Section: Sijmentioning

confidence: 99%

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Assessing the Efficacy of Video Telestration in Aiding Memory Recall Among Elite Professional Football Players

Smith¹,

Rands²,

Bateman³

et al. 2022

sij

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“…Telestration (digital broadcast for remote viewing and interaction) is an established principle in both laparoscopic surgical and endoscopic fields,8–10 but it usually employed for training, supervision or mentorship, rather than facilitating interhospital referrals. The technology lends itself readily to such a use case, but platforms designed for general use (or use-non-specific scenarios) may be a hindrance to easy implementation.…”

Section: Introductionmentioning

confidence: 99%

High burden of polyp mischaracterisation in tertiary centre referrals for endoscopic resection may be alleviated by telestration

Thrumurthy

Htet

Denesh

et al. 2022

Frontline Gastroenterol

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ObjectiveEndoscopic resection (ER) often involves referral to tertiary centres with high volume practices. Lesions can be subject to prior manipulation and mischaracterisation of features required for accurate planning, leading to prolonged or cancelled procedures. As potential solutions, repeating diagnostic procedures is burdensome for services and patients, while even enriched written reports and still images provide insufficient information to plan ER. This project sought to determine the frequency and implications of polyp mischaracterisation and whether the use of telestration might prevent it.Design/methodA retrospective data analysis of ER referrals to four tertiary centres was conducted for the period July–December 2019. Prospective telestration with a novel digital platform was then performed between centres to achieve consensus on polyp features and ER planning.Results163 lesions (163 patients; mean age 67.9±12.2 y; F=62) referred from regional hospitals, were included. Lesion site was mismatched in 11 (6.7%). Size was not mentioned in the referral in 27/163 (16.6%) and incorrect in 81/136 (51.5%), more commonly underestimated by the referring centre (<0.0001), by a mean factor of 1.85±0.79. Incurred procedure time (in units of 20 min) was significantly greater than that allocated (p=0.0085). For 10 cases discussed prospectively, rapid consensus on lesion features was achieved, with agreement between experts on time required for ER.ConclusionsPolyp mischaracterisation is a frequent feature of ER referrals, but could be corrected by the use of telestration between centres. Our study involved expert-to-expert consensus, so extending to ‘real-world’ referring centres would offer additional learning for a digital pathway.

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“…While no prior studies have directly evaluated the impact of distraction on endoscopic training in a gastroenterology unit, some have shown detrimental effects on teamwork, workload, and stress on members of operating room teams [10]. Conversely, one prior study used a novel tablet application to focus mentor attention on trainee polyp detection, which resulted in reduced stress, quicker polyp identification, and improved educational satisfaction [11].…”

Section: Introductionmentioning

confidence: 99%

The impact of distraction minimization on endoscopic mentoring and performance

et al. 2020

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Background and study aims Endoscopic mentoring requires active attention by the preceptor. Unfortunately, sources of distraction are abundant during endoscopic precepting. The impact of distraction minimization on endoscopic mentoring and performance is unknown. Methods Fellow and attending preceptors were paired and randomized in a prospective crossover design to perform esophagogastroduodenoscopy (EGD) and/or colonoscopy in either a “distraction minimization” (DM) or a “standard” (S) room. Cell phones, pagers, music, and computers were not permitted in DM rooms. S rooms operated under typical conditions. Fellows and attendings then completed a survey. The primary outcome was fellow satisfaction with mentoring experience (visual analogue scale: 0 = min,100 = max). Additional fellow outcomes included satisfaction of attending attentiveness, identifying landmarks, communication, and distractedness; attending outcomes included satisfaction with mentoring, attentiveness, communication, and distractedness. Endoscopic performance measures included completion of EGD, cecal intubation rate, cecal intubation time, withdrawal time, total procedure time, attending assistance, and polyp detection rate. A paired t-test was used to compare mean differences (MD) between rooms; significance set at P < 0.05. Results Eight fellows and seven attendings completed 164 procedures. Despite a trend toward less distraction between rooms (DM = 12.5 v. S = 18.3, MD = 4.1, P = 0.17), there was no difference in fellow satisfaction with training/mentoring (DM = 93, S = 93, MD = –0.04, P = 0.97), attentiveness (DM = 95, S = 92, MD = 0.86, P = 0.77), identifying pathology/landmarks (DM = 94, S = 94, MD = –1.72, P = 0.56), or communication (DM = 95, S = 95,MD = 1.0, P = 0.37). Similarly, there was no difference between rooms for any attending outcome measures or performance metrics. Conclusions DM did not improve perceived quality of endoscopic mentoring or performance for fellows or attendings; however, reduced distraction may improve attending engagement/availability.

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Evaluation of a novel tablet application for improvement in colonoscopy training and mentoring (with video)

Abstract: Background and Aims: Endoscopic training can be challenging for the trainee and preceptor.

Cited by 8 publications

References 22 publications

Assessing the Efficacy of Video Telestration in Aiding Memory Recall Among Elite Professional Football Players

Assessing the Efficacy of Video Telestration in Aiding Memory Recall Among Elite Professional Football Players

High burden of polyp mischaracterisation in tertiary centre referrals for endoscopic resection may be alleviated by telestration

The impact of distraction minimization on endoscopic mentoring and performance

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